Elikem Kofi Gbeddy, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Hope Mills, North Carolina. His current practice location is
5205 Pride Ln, Hope Mills, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(952) 595-1100.
Elikem Kofi Gbeddy is licensed to practice in North Carolina (license number 2016-01409) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1568716157.
Physician's Profile
Full Name | Elikem Kofi Gbeddy |
---|
Gender | Male |
---|
Speciality | Radiology - Diagnostic Radiology |
---|
Location | 5205 Pride Ln, Hope Mills, North Carolina |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1568716157
- Provider Enumeration Date: 11/03/2012
- Last Update Date: 06/30/2016
Medicare PECOS Information:
- PECOS PAC ID: 8426282914
- Enrollment ID: I20170220001870
Medical Identifiers
Medical identifiers for Elikem Kofi Gbeddy such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1568716157 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2085R0202X | Radiology - Diagnostic Radiology | MD447304 (Pennsylvania) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | 2016-01409 (North Carolina) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Elikem Kofi Gbeddy allows following entities to bill medicare on his behalf.
Entity Name | Radadvantage A Professional Corporation |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1376719666 PECOS PAC ID: 2163597899 Enrollment ID: O20110520000056 |
---|
Entity Name | Geisinger Clinic |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1255382784 PECOS PAC ID: 5395657001 Enrollment ID: O20151023001241 |
---|
Entity Name | Geisinger-hm Joint Venture Llc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1144876137 PECOS PAC ID: 1355676370 Enrollment ID: O20200305001584 |
---|
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Elikem Kofi Gbeddy is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Elikem Kofi Gbeddy, MD 11995 Singletree Ln, Ste 500, Eden Prairie, MN 55344-5347 Ph: (952) 595-1301 | Elikem Kofi Gbeddy, MD 5205 Pride Ln, Hope Mills, NC 28348-7531 Ph: (952) 595-1100 |
Reviews and Comments